Iliffe S, Haines A
Department of Primary Health Care, University College, London, England.
Fam Med. 1989 May-Jun;21(3):169-70, 175-6, 229-30.
The essential characteristics of British general practice--a defined list of patients for each practitioner, the pivotal role of general practice in controlling access to specialist services, and the primary care team--all are likely to be preserved for the foreseeable future. New government legislation will attempt to increase the accountability of general practitioners, to reward "good practice", and to encourage greater emphasis on preventive activities. This article provides an overview of general practice in the United Kingdom, including administrative issues, reimbursement structures, research directions, and government policies.
英国全科医疗的基本特征——每位从业者都有明确的患者名单、全科医疗在控制专科服务获取方面的关键作用以及初级保健团队——在可预见的未来都可能得以保留。新的政府立法将试图增强全科医生的问责制,奖励“优质医疗服务”,并鼓励更加强调预防活动。本文概述了英国的全科医疗,包括行政问题、报销结构、研究方向和政府政策。